Rheumatoid Arthritis (RA) is associated with a high incidence of destruction of multiple joints, including Atlantoaxial Subluxation (AAS). Because the Vertebral Arteries (VA) is near the Atlantoaxial (AA) joint, VA occlusion may occur due to AAS. Since the VA supplies blood to the cerebellum and brainstem, serious symptoms can develop if infarction occurs due to VA occlusion. In this case report of a 64-year-old female RA patient, CT angiography demonstrated a dissecting aneurysm and the occlusion of the left VA at the AA joint, attributed to the one-sided destruction of the C1/C2 lateral mass, leading to frequent cerebellum infarctions. Vertigo and neck pain in the extension position disappeared after C1/C2 posterior fixation, and infarctions originating from VA occlusion never recurred after surgery. As the positional occlusion of VA in AAS itself has become relatively uncommon since the use of biological preparations for RA treatment, the authors describe a case in which C1/C2 fixation is effective for preventing neck pain, deterioration of neurological findings and the recurrence of cerebellum infarctions due to positional VA occlusion.

Multiple Infarctions Due to Vertebral Arterial Occlusion Associated withAtlantoaxial Subluxation in Patients with Rheumatoid Arthritis: A CaseReport

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

Egawa S

Author Tools

Chat about Author

Papers

Multiple Infarctions Due to Vertebral Arterial Occlusion Associated withAtlantoaxial Subluxation in Patients with Rheumatoid Arthritis: A CaseReport